ADVENTHEALTH OCALA — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
PROVENGE 50MIU INJ 250ML	PROVENGE 50MIU INJ 250ML	$779,682	$467,809	—	—	67
KIT IMP LVAD HEARTMATE II	KIT IMP LVAD HEARTMATE II	$708,435	$425,061	—	—	29
GLUCARPIDASE 1000U INJ	GLUCARPIDASE 1000U INJ	$573,772	$344,263	—	—	43
PEGLOTICASE 8MG/ML INJ	PEGLOTICASE 8MG/ML INJ	$430,134	$258,080	—	—	67
USTEKINUMAB SUBQ 90MG/ML INJ	USTEKINUMAB SUBQ 90MG/ML INJ	$390,625	$234,375	—	—	67
CANAKINUMAB 150MG/ML INJ	CANAKINUMAB 150MG/ML INJ	$305,544	$183,327	—	—	134
SYS MITRL CLP DEL MITRACLIP	SYS MITRL CLP DEL MITRACLIP	$262,562	$157,537	—	—	29
IMP V AORT COREVALVE MEDT	IMP V AORT COREVALVE MEDT	$262,562	$157,537	—	—	29
IMP V AORT CRVLV EVOLUTR	IMP V AORT CRVLV EVOLUTR	$254,432	$152,659	—	—	29
TILDRAKIZUMAB-ASMN 100MG/ML INJ	TILDRAKIZUMAB-ASMN 100MG/ML INJ	$252,279	$151,367	—	—	67
SYS NEUROSTIM ACTIVA RC	SYS NEUROSTIM ACTIVA RC	$223,659	$134,195	—	—	29
IPILIMUMAB 200MG/40ML INJ	IPILIMUMAB 200MG/40ML INJ	$220,153	$132,092	—	—	67
GENERATOR VNS 105 CYBERONIC	GENERATOR VNS 105 CYBERONIC	$214,368	$128,621	—	—	29
OCRELIZUMAB 30MG/ML INJ 10ML	OCRELIZUMAB 30MG/ML INJ 10ML	$202,754	$121,652	—	—	67
LUSPATERCEPT-AAMT 75MG INJ	LUSPATERCEPT-AAMT 75MG INJ	$194,650	$116,790	—	—	53
FACTOR VIIA RT 5000MCG INJ	FACTOR VIIA RT 5000MCG INJ	$189,726	$113,835	—	—	67
GEN NEUROSTIM IPG HF W/CHRGR	GEN NEUROSTIM IPG HF W/CHRGR	$185,648	$111,389	—	—	29
CINRYZE 500U INJ	CINRYZE 500U INJ	$180,994	$108,597	—	—	67
LEUPROLIDE DEPO 45MG KT	LEUPROLIDE DEPO 45MG KT	$177,466	$106,480	—	—	134
STIMULATOR NERVE VAGAL CYBERON	STIMULATOR NERVE VAGAL CYBERON	$175,131	$105,079	—	—	29
GENERATOR VNS 103 CYBERONIC	GENERATOR VNS 103 CYBERONIC	$172,906	$103,744	—	—	29
USTEKINUMAB SUBQ 45MG/0.5ML INJ	USTEKINUMAB SUBQ 45MG/0.5ML INJ	$167,778	$100,667	—	—	67
RITUXIMAB/HYALURDASE 1600MG INJ 13.4ML	RITUXIMAB/HYALURDASE 1600MG INJ 13.4ML	$157,630	$94,578	—	—	67
BELANTAMAB MAFODOTIN-BLMF 100MG INJ	BELANTAMAB MAFODOTIN-BLMF 100MG INJ	$155,954	$93,572	—	—	53
NEUROSTIM GEN ACTIVA PC	NEUROSTIM GEN ACTIVA PC	$153,730	$92,238	—	—	29
LANREOTIDE 120MG/0.5ML INJ	LANREOTIDE 120MG/0.5ML INJ	$151,629	$90,978	—	—	134
IMP MESH ZOOPLASTIC TIER33	IMP MESH ZOOPLASTIC TIER33	$151,607	$90,964	—	—	29
HEMIN 350MG INJ	HEMIN 350MG INJ	$150,395	$90,237	—	—	67
GRAFT STNT PROX THOR MAIN	GRAFT STNT PROX THOR MAIN	$148,921	$89,353	—	—	29
SYSTEM PROC DEV WATCHMANN LAA	SYSTEM PROC DEV WATCHMANN LAA	$143,918	$86,351	—	—	29
IMP ROD SPN TIER31	IMP ROD SPN TIER31	$143,141	$85,885	—	—	29
PATISIRAN NA 2MG/ML INJ 5ML	PATISIRAN NA 2MG/ML INJ 5ML	$139,041	$83,425	—	—	67
RITUXIMAB/HYALURDASE 1400MG INJ 11.7ML	RITUXIMAB/HYALURDASE 1400MG INJ 11.7ML	$137,930	$82,758	—	—	67
SOURCE YTTRIUM-90/SIR-SPHERES	SOURCE YTTRIUM-90/SIR-SPHERES	$136,979	$82,188	—	—	67
IMP MESH ZOOPLASTIC TIER32	IMP MESH ZOOPLASTIC TIER32	$135,241	$81,145	—	—	29
VEDOLIZUMAB 300MG INJ	VEDOLIZUMAB 300MG INJ	$128,592	$77,155	—	—	67
IMP MESH SYNTHETIC TIER32	IMP MESH SYNTHETIC TIER32	$126,782	$76,069	—	—	29
GFT VASCULAR TIER32	GFT VASCULAR TIER32	$126,280	$75,768	—	—	29
PEGASPARGASE 3750U/5ML INJ	PEGASPARGASE 3750U/5ML INJ	$126,085	$75,651	—	—	67
STENT GFT THOR W/PLUS DELIVERY RELAY TIER31	STENT GFT THOR W/PLUS DELIVERY RELAY TIER31	$125,811	$75,487	—	—	29
ENDOPROS THOR TAG	ENDOPROS THOR TAG	$124,829	$74,898	—	—	29
RAVULIZUMAB-CWVZ 10MG/ML INJ 30ML	RAVULIZUMAB-CWVZ 10MG/ML INJ 30ML	$121,276	$72,766	—	—	67
AGALSIDASE 35MG INJ	AGALSIDASE 35MG INJ	$118,995	$71,397	—	—	67
GFT VASCULAR TIER31	GFT VASCULAR TIER31	$118,603	$71,162	—	—	29
OCTREOTIDE DEPOT 30MG INJ	OCTREOTIDE DEPOT 30MG INJ	$116,995	$70,197	—	—	67
LANREOTIDE 90MG/0.3ML INJ	LANREOTIDE 90MG/0.3ML INJ	$116,995	$70,197	—	—	67
POLATUZUMAB VEDOTIN-PIIQ 140MG INJ	POLATUZUMAB VEDOTIN-PIIQ 140MG INJ	$111,185	$66,711	—	—	67
IMP IM NAIL/ROD TIER30	IMP IM NAIL/ROD TIER30	$110,579	$66,347	—	—	29
TENECTEPLASE 50MG INJ	TENECTEPLASE 50MG INJ	$106,999	$64,199	—	—	134
ACTIVASE 100MG INJ	ACTIVASE 100MG INJ	$106,594	$63,956	—	—	67

Showing top 50 of 17,065 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.